Evidence map›Paper›PMID 33278069›Full record

ArticlePhysiological reports2020

Evaluation of a system for sorbent-assisted peritoneal dialysis in a uremic pig model.

Maaike K van Gelder, Joost C de Vries, Frank Simonis, Anneke S Monninkhof, Diënty H M Hazenbrink, Giulia Ligabue, Silvia Giovanella, Jaap A Joles, Marianne C Verhaar, Maria A Bajo Rubio and 3 more

Registry-linked trialOpen access · goldAbstract readEvaluation Study
In one paragraph

Article in Physiological reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06314503 (Clinical Validation of a Continuous Flow Peritoneal Dialysis System With Dialysate Regeneration), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06314503 narecruitingnot on this mapstarted 2024, after this paper: background citation

Clinical Validation of a Continuous Flow Peritoneal Dialysis System With Dialysate Regeneration

TypeinterventionalSponsorUMC UtrechtRan2024 to 2025Enrolled12ConditionsRenal Insufficiency, Chronic, Kidney Failure, Chronic, Chronic Kidney DiseasesArmsWEAKID
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 3 countries.

Maaike K van GelderDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
Joost C de VriesDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
Frank SimonisNanodialysis BV, Oirschot, The Netherlands.
Anneke S MonninkhofDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
Diënty H M HazenbrinkDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
Giulia LigabueSurgical, Medical, Dental, Morphology Sciences, Transplant, Oncology and Regenerative Medicine Department, Division of Nephrology, University of Modena and Reggio Emilia, Modena, Italy.
Silvia GiovanellaSurgical, Medical, Dental, Morphology Sciences, Transplant, Oncology and Regenerative Medicine Department, Division of Nephrology, University of Modena and Reggio Emilia, Modena, Italy.
Jaap A JolesDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
Marianne C VerhaarDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
Maria A Bajo RubioNephrology Service, Hospital Universitario La Paz. Institute for Health Research (IdiPAZ), IRSIN, REDinREN, Madrid, Spain.
Rafael SelgasNephrology Service, Hospital Universitario La Paz. Institute for Health Research (IdiPAZ), IRSIN, REDinREN, Madrid, Spain.
Gianni CappelliSurgical, Medical, Dental, Morphology Sciences, Transplant, Oncology and Regenerative Medicine Department, Division of Nephrology, University of Modena and Reggio Emilia, Modena, Italy.
Karin G F GerritsenDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-1917-6255
University Medical Center Utrecht · NLUniversity of Modena and Reggio Emilia · ITHospital Universitario La Paz · ESCardialysis (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A system for sorbent-assisted peritoneal dialysis (SAPD) has been developed that continuously recirculates dialysate via a tidal mode using a single-lumen peritoneal catheter with the regeneration of spent dialysate by means of sorbents. SAPD treatment may improve plasma clearance by the maintenance of a high plasma-to-dialysate concentration gradient and by increasing the mass transfer area coefficient (MTAC) of solutes. The system is designed for daily 8-hr treatment (12 kg, nighttime system). A wearable system (2.3 kg, daytime system) may further enhance the clearance of phosphate and organic waste solutes during the day. Uremic pigs (n = 3) were treated with the day- (n = 3) and nighttime system (n = 15) for 4-8 hr per treatment. Plasma clearance (Cl), MTAC, and total mass transport (MT) of urea, creatinine, phosphate, and potassium were compared with a static dwell (n = 28). Cl, MTAC, and MT of urea, creatinine, phosphate, and potassium were low in the pig as compared to humans due to the pig's low peritoneal transport status and could be enhanced only to a limited extent by SAPD treatment compared with a static dwell (nighttime system: Cl urea: ×1.5 (p = .029), Cl creatinine: ×1.7 (p = .054), Cl phosphate: ×1.5 (p = .158), Cl potassium: ×1.6 (p = .011); daytime system: Cl creatinine: ×2.7 (p = .040), Cl phosphate: ×2.2 (p = .039)). Sorbent-assisted peritoneal dialysis treatment in a uremic pig model is safe and enhances small solute clearance as compared to a static dwell. Future studies in humans or animal species with higher peritoneal transport should elucidate whether our SAPD system enhances clearance to a clinically relevant extent as compared to conventional PD.

Indexed as

AnimalsAnion Exchange ResinsCathetersChloridesCreatinineFemalePeritoneal DialysisPhosphatesPotassiumSwineUreaUremiaAnion Exchange ResinsChloridesCreatininePhosphatesPotassiumUreaartificialchroniccontinuous flow peritoneal dialysiskidney failurekidneysperitoneal dialysissorbent

Identifiers

PMID33278069
PMCPMC7718839
OpenAlexW3108653619

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.